Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CHG CT PELVIS W/CONTRAST MATERIAL
Plattsburgh, NY
See all hospitals reporting CPT 72193 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $124 is 74% below the median hospital's median price ($469), higher than 2% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 38 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $36.12 | $36.12 | $36.12 – $36.12 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $38.21 | $38.21 | $38.21 – $38.21 |
| 3 | Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both | $46.44 | $46.44 | $46.44 – $46.44 |
| 4 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $46.44 | $46.44 | $46.44 – $46.44 |
| 5 | Blue Cross Blue Shield blue access professional · fee schedule · both | $48.98 | $48.98 | $48.98 – $48.98 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $51.60 | $51.60 | $51.60 – $51.60 |
| 7 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $51.60 | $51.60 | $51.60 – $51.60 |
| 8 | Excellus medicare advantage professional · fee schedule · both | $51.60 | $51.60 | $51.60 – $51.60 |
| 9 | Humana tricare professional · fee schedule · both | $51.60 | $51.60 | $51.60 – $51.60 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $51.60 | $51.60 | $51.60 – $51.60 |
| 11 | Blue Cross Blue Shield hmo professional · fee schedule · both | $51.86 | $51.86 | $51.86 – $51.86 |
| 12 | Blue Cross Blue Shield ind professional · fee schedule · both | $54.74 | $54.74 | $54.74 – $54.74 |
| 13 | Blue Cross Blue Shield ppo professional · fee schedule · both | $57.62 | $57.62 | $57.62 – $57.62 |
| 14 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $60.40 | $60.40 | $55.50 – $65.29 |
| 15 | Highmark ind/fep professional · fee schedule · both | $65.44 | $65.44 | $65.44 – $65.44 |
| 16 | Highmark ppo/hmo professional · fee schedule · both | $65.44 | $65.44 | $65.44 – $65.44 |
| 17 | Excellus commercial professional · fee schedule · both | $78.22 | $78.22 | $78.22 – $78.22 |
| 18 | Aetna commercial professional · fee schedule · both | $81.01 | $81.01 | $81.01 – $81.01 |
| 19 | Blue Cross Blue Shield individual network professional · fee schedule · both | $82.56 | $82.56 | $82.56 – $82.56 |
| 20 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $112.00 | $112.00 | $112.00 – $112.00 |
| 21 | UnitedHealthcare commercial professional · fee schedule · both | $125.83 | $125.83 | $125.83 – $125.83 |
| 22 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $147.25 | $147.25 | $147.25 – $147.25 |
| 23 | Excellus medicare advantage facility · fee schedule · outpatient | $205.63 | $205.63 | $205.63 – $205.63 |
| 24 | Humana tricare facility · fee schedule · outpatient | $206.63 | $206.63 | $206.63 – $206.63 |
| 25 | Aetna medicare advantage facility · fee schedule · outpatient | $217.51 | $217.51 | $217.51 – $217.51 |
Last updated: Apr 28, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.